Hepatobiliary surgery2017-09-15T03:53:11+00:00

Hepatobiliary surgery

Emergency referrals

All urgent cases must be discussed with the on call Surgical Registrar to obtain appropriate prioritisation and treatment. Contact through:

  • Royal Brisbane and Women’s Hospital (07) 3646 8111
  • The Prince Charles Hospital (07) 3139 4000
  • Redcliffe Hospital (07) 3883 7777.

Urgent cases accepted via phone must be accompanied with a written referral and a copy faxed immediately to the Central Patient Intake Unit: 1300 364 952.

Does your patient wish to be referred?

Minimum referral criteria

Does your patient meet the minimum referral criteria?

Category 1
Appointment within 30 days is desirable

  • Frequent biliary colic (more than weekly) not relieved by analgesia and lasting >8hours
  • Any suspicion of hepatobillary malignancy
  • Known gallstones with ongoing biliary colic
  • Gall bladder mass/recurrent cholecystitis
  • Radiological imaging abnormality requiring investigation

Category 2
Appointment within 90 days is desirable

  • Symptomatic gallstones
  • Gallstones (following cholecystitis, recurrent biliary colic)
  • Multiple gall bladder polyps
  • Chronic pancreatitis
  • Porcelain gallbladder

Category 3
Appointment within 365 days is desirable

  • Asymptomatic gallstones

If your patient does not meet the minimum referral criteria

Consider other treatment pathways or an alternative diagnosis.

If you still need to refer your patient:

  • Please explain why (e.g. warning signs or symptoms, clinical modifiers, uncertain about diagnosis, etc.)
  • Please note that your referral may not be accepted or may be redirected to another service

Primary care management and other important information for referring practitioners

Not an exhaustive list

  • Lifestyle modification (increased activity, dietary, weight, smoking, alcohol)
  • Referral is not mandatory for patient with asymptomatic gallstones
  • Short attacks of biliary colic can be managed symptomatically
  • Gallstones, points for concern:
    • increasing frequency and severity of pain
    • documented jaundice or deranged LFTs
    • USS evidence of duct dilatation
    • If known to have common bile duct stones refer as Cat 1
    • If obstructive jaundice and fever – refer to emergency

Refer your patient

A referral may be rejected without the following information.

  • History including:
    • timeline of current symptoms and previous symptoms
    • number of attacks and pain severity
    • jaundice, anaemia
    • abdominal examination (abdominal mass, palpable gall bladder)
  • FBC ELFT results
  • Serum lipase is performed, especially relevant if performed at the time of an attack of pain
  • USS/CT result (USS is required for Gallstone Disease)
  • HBV HCV serology results (if available)
  • Full name (including aliases)
  • Date of birth
  • Residential and postal address
  • Telephone contact number/s – home, mobile and alternative
  • Medicare number (where eligible)
  • Name of the parent or caregiver (if appropriate)
  • Preferred language and interpreter requirements
  • Identifies as Aboriginal and/or Torres Strait Islander
  • Full name
  • Full address
  • Contact details – telephone, fax, email
  • Provider number
  • Date of referral
  • Signature
  • To establish a diagnosis
  • For treatment or intervention
  • For advice and management
  • For specialist to take over management
  • Reassurance for GP/second opinion
  • For a specified test/investigation the GP can’t order, or the patient can’t afford or access
  • Reassurance for the patient/family
  • For other reason (e.g. rapidly accelerating disease progression)
  • Clinical judgement indicates a referral for specialist review is necessary
  • Presenting symptoms (evolution and duration)
  • Physical findings
  • Details of previous treatment (including systemic and topical medications prescribed) including the course and outcome of the treatment
  • Body mass index (BMI)
  • Details of any associated medical conditions which may affect the condition or its treatment (e.g. diabetes), noting these must be stable and controlled prior to referral
  • Current medications and dosages
  • Drug allergies
  • Alcohol, tobacco and other drugs use
  • Impact on employment
  • Impact on education
  • Impact on home
  • Impact on activities of daily living
  • Impact on ability to care for others
  • Impact on personal frailty or safety
  • Identifies as Aboriginal and/or Torres Strait Islander
  • Willingness to have surgery (where surgery is a likely intervention)
  • Choice to be treated as a public or private patient
  • Compensable status (e.g. DVA, Work Cover, Motor Vehicle Insurance, etc.)

Send referral

Hotline: 1300 364 938

Fax: 1300 364 952
Electronic: eReferral systm
Mail: Metro North Central Patient Intake
Aspley Community Centre
776  Zillmere Road

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